Physician
Family Medicine
Family Medicine
SOUTH JORDAN, UT
RIVERTON HOSPITAL
INTERMOUNTAIN MEDICAL CENTER
intermountainhealthcare.org/locations/intermountain-medical-center
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $261 | $256 | $256 | 29 |
91320 Sarscv2 vac 30mcg trs-suc im | $240 | $128 | $128 | 15 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $204 | $122 | $122 | 114 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $204 | $122 | $75 | 133 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $144 | $85 | $51 | 87 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $88 | $76 | $76 | 37 |
G0009 Administration of pneumococcal vaccine | $55 | $29 | $29 | 28 |
90480 Admn sarscov2 vacc 1 dose | $55 | $39 | $39 | 15 |
G0008 Administration of influenza virus vaccine | $38 | $28 | $28 | 35 |
83036 Hemoglobin a1c level | $19 | $10 | $10 | 13 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.